Individual
ANDREW A ANDRESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1345 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1844
(563) 421-4400
(563) 421-4449
Mailing address
1345 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1844
(563) 421-4400
(563) 421-4449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27707
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077619
HEALTH ALLIANCE
—
05
—
1058180
—
IA
01
—
19784
IOWA HEALTH SOLUTIONS
—
01
—
41543
WELLMARK BC/BS
IA
01
—
4796890001
DMERC
—
01
—
IA0164
JOHN DEERE HEALTH PLAN
—
Enumeration date
06/16/2005
Last updated
01/26/2021
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